MR. ELIJAH TELFARE


Address: 500 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5195
Phone: 3604914211

MR. ELIJAH TELFARE (NPI# 1124144431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124144431
Entity Type Individual
Full Name MR. ELIJAH TELFARE
Other Name MR. VINCENT TELFARE
Credential P.A.
Practice Address 500 Lilly Rd Ne
Suite 100
Olympia
WA 98506-5195
Mailing Address Po Box 368
Olympia
WA 98507-0368
Practice Telephone 3604914211
Practice Fax Number 3604930407
Mailing Telephone 3604918439
Mailing Fax Number 3604916328
Enumeration Date 2007-03-21
Last Update Date 2007-10-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA10002241 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 7066269 05

Office Location

Street Address 500 LILLY RD NE
SUITE 100
City OLYMPIA
State WA
Zip Code 98506-5195

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871594325 David H Schoening Internal Medicine 500 Lilly Rd Ne, Ste 100, Olympia, WA 98506 2005-08-09
1720644073 Carol Neff Moreno Family Medicine 500 Lilly Rd Ne, Olympia, WA 98506-5195 2019-05-13
1770936015 Ester Monique Brown Licensed Practical Nurse 500 Lilly Rd Ne, Olympia, WA 98506-5195 2016-07-22
1073969101 Samantha Moore Physician Assistant 500 Lilly Rd Ne, Olympia, WA 98506-5195 2016-05-07
1467720292 Sarah Byram Poppe Nurse Practitioner 500 Lilly Rd Ne, Suite 204, Olympia, WA 98506-5197 2011-12-07
1164724308 Providence Health & Services-washington Internal Medicine 500 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5195 2010-11-20
1659554624 Scott David Werden Internal Medicine 500 Lilly Rd Ne, Memorial Medical Plaza, Olympia, WA 98506-5195 2007-12-12
1194867887 Northwest Radiology Group LLC Specialist 500 Lilly Rd Ne, Suite 160, Olympia, WA 98506-5195 2007-02-12
1245391390 Patrick C Williams Physician Assistant 500 Lilly Rd Ne, Suite 204, Olympia, WA 98506-5197 2006-12-13
1356446777 Theodore Martin Johnson Psychologist 500 Lilly Rd Ne, #205, Olympia, WA 98506-5195 2006-09-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477185460 Chloe Harper Technician, Other 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 2020-02-07
1912543539 Jessica Marie Radakovich Licensed Practical Nurse 3426 Mary Elder Rd, Olympia, WA 98506 2019-11-19
1669014973 Arlene Josephine Adams Registered Nurse 413 Lily Rd Ne, Olympia, WA 98506 2019-10-09
1861999120 Debra Delores Barker Licensed Practical Nurse 3710 South Bay Rd Ne, Olympia, WA 98506 2018-04-12
1801304431 Michelle Warner Nurse Practitioner 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 2018-01-17
1396258364 Institute for Family Development Community/Behavioral Health 204 Quince St. Ne, Suite 200, Olympia, WA 98506 2017-11-13
1083137715 Cameron Kunkel Specialist/Technologist 2512 20th Ave Ne, Olympia, WA 98506 2017-07-25
1184144768 Trevor Shane Kwan Family Medicine 525 Lilly Road Ne, Olympia, WA 98506 2017-06-23
1073043212 Michael H Harburg Behavior Technician 3857 Martin Way Ne, Olympia, WA 98506 2017-06-19
1780114371 Priscilla Kangyang Jadu Counselor 3857 Martin Way E., Olympia, WA 98506 2017-06-15
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295778165 Christopher S Johnson Physician Assistant 3920 Capitol Mall Drive Sw, Suite 201, Olympia, WA 98502-8700 2006-06-14
1740611557 Matthew Steven Renner Physician Assistant 615 Lilly Rd Ne Ste 220, Olympia, WA 98506-5137 2013-12-03
1851574750 Providence Health & Services Washington Physician Assistant 413 Lilly Rd Ne, Olympia, WA 98506-5133 2007-12-13
1578632238 Joshua B Mayes Physician Assistant 3901 Capital Mall Dr Sw, Suite A, Olympia, WA 98502-8654 2006-11-07
1972536779 Lori Anne Cardwell Physician Assistant 615 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5117 2006-07-08
1124056437 Charles W Anderegg Physician Assistant 3901 Capital Mall Dr Sw, Ste A, Olympia, WA 98502-8654 2006-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780153536 Patricia Dorian Physician Assistant 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 2018-11-21
1851875561 Sarah Gene Soloff Physician Assistant 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 2018-09-18
1104308394 Johnny Thanh Nguyen Physician Assistant 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 2018-09-04
1558843201 Stefanie Eller Physician Assistant 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 2018-08-29
1861987992 Lillian Baldwin Bourret Physician Assistant 6317 Linden Ave N, Seattle, WA 98103-5658 2018-07-01
1417446758 Janelle Elizabeth Becker Physician Assistant 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 2018-05-02
1982058418 Ray Johnson Physician Assistant 4446 88th Ave Se, Mercer Island, WA 98040 2016-04-21
1073990651 Laura Skanse Physician Assistant 12303 Ne 130th Ln #500, Kirkland, WA 98034 2015-05-02
1104231893 Amber Elaine Deck Physician Assistant 20307 67th Ave E, Spanaway, WA 98387-5600 2014-06-22
1043535024 Pamela Baird Physician Assistant 2016 16th Ave East, Seattle, WA 98112-5260 2010-04-01
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Competitor

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City OLYMPIA
Zip Code 98506

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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